SlideShare a Scribd company logo
1 of 39
 
Paramedic Assist Presented by Shore Emergency Educators
Objectives ,[object Object],[object Object]
 
BLS Protocols Soon to be updated!!! Yeah!!!!!!!
Protocols ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Patient Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chest Pain ,[object Object],[object Object],[object Object],[object Object],Assist patient with prescribed nitroglycerin Assure BP > 100 systolic prior to each dose!!! Maximum 3 doses 3 to 5 minutes apart Recheck blood pressure between doses VIAGRA or other ED Drugs
Acute Respiratory Distress ,[object Object],[object Object]
Acute Respiratory Distress ,[object Object],[object Object],[object Object],[object Object]
Acute Respiratory Distress ,[object Object],[object Object],[object Object],[object Object]
CPAP
Severe Allergic Reaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetics with  Altered Mental Status ,[object Object],[object Object],[object Object]
Diabetics with  Altered Mental Status ,[object Object]
ALS Protocols ,[object Object],[object Object],[object Object]
Overview of ALS Equipment ,[object Object],[object Object],[object Object]
ECG Monitor ON/OFF
ECG Monitor 12 Lead Button
ECG Monitor Selector Wheel
ECG Monitor PRINTER DEFIB CABLES
ECG Monitor LEAD AND SIZE NIBP
ECG Monitor SA02/EtCO2
12 Lead ,[object Object],[object Object],[object Object],[object Object],[object Object]
12 Lead
12 Lead
12 Lead
CPR Devices ,[object Object],[object Object],[object Object]
CPR Devices
CPR Device
IV Tubing
Trauma Tubing
Trauma Tubing (cont.)
Hypothermia ,[object Object],[object Object],[object Object]
Hypothermia
Hypothermia
 
 
That’s all

More Related Content

What's hot

12 acute decompensated_hf
12 acute decompensated_hf12 acute decompensated_hf
12 acute decompensated_hfdrucsamal
 
The 2017 Hypertension Guideline Update and the Need for Revised Clinical Content
The 2017 Hypertension Guideline Update and the Need for Revised Clinical ContentThe 2017 Hypertension Guideline Update and the Need for Revised Clinical Content
The 2017 Hypertension Guideline Update and the Need for Revised Clinical ContentTCS Healthcare Technologies
 
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)Rahul Bhati
 
Recent guideline for the Prevention, Detection, Evaluation, and Management of...
Recent guideline for the Prevention, Detection, Evaluation, and Management of...Recent guideline for the Prevention, Detection, Evaluation, and Management of...
Recent guideline for the Prevention, Detection, Evaluation, and Management of...Ashutosh Pakale
 
Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019hospital
 
2017 AHA ACC Hypertension Guidelines made simple
2017 AHA ACC Hypertension Guidelines made simple2017 AHA ACC Hypertension Guidelines made simple
2017 AHA ACC Hypertension Guidelines made simpleMgfamiliar Net
 
2017 AHA/ACC Hypertension guideline summary
2017 AHA/ACC Hypertension guideline summary2017 AHA/ACC Hypertension guideline summary
2017 AHA/ACC Hypertension guideline summaryYung-Tsai Chu
 
Managing Warfarin Therapy in Atrial Fibrilation)
Managing Warfarin Therapy in Atrial Fibrilation)Managing Warfarin Therapy in Atrial Fibrilation)
Managing Warfarin Therapy in Atrial Fibrilation)Dr Sukanta sen
 
2017 ACC AHA guidelines on management of systemic hypertension
2017 ACC AHA guidelines on management of systemic hypertension2017 ACC AHA guidelines on management of systemic hypertension
2017 ACC AHA guidelines on management of systemic hypertensionVasif Mayan
 
2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines2017 ACC Hypertension Guidelines
2017 ACC Hypertension GuidelinesHuriah Putra
 
2017 high blood pressure clinical practice guideline
2017 high blood pressure clinical practice guideline2017 high blood pressure clinical practice guideline
2017 high blood pressure clinical practice guidelineDhan Shrestha
 
3 dan atar - rate versus rhythm control in af
3   dan atar - rate versus rhythm control in af3   dan atar - rate versus rhythm control in af
3 dan atar - rate versus rhythm control in afwebevo5
 
Management of atrial fibrillation (summary)
Management of atrial fibrillation (summary)Management of atrial fibrillation (summary)
Management of atrial fibrillation (summary)Adel Hasanin
 
2017 Blood Pressure Guidelines
2017 Blood Pressure Guidelines2017 Blood Pressure Guidelines
2017 Blood Pressure GuidelinesGauhar Azeem
 

What's hot (19)

12 acute decompensated_hf
12 acute decompensated_hf12 acute decompensated_hf
12 acute decompensated_hf
 
The 2017 Hypertension Guideline Update and the Need for Revised Clinical Content
The 2017 Hypertension Guideline Update and the Need for Revised Clinical ContentThe 2017 Hypertension Guideline Update and the Need for Revised Clinical Content
The 2017 Hypertension Guideline Update and the Need for Revised Clinical Content
 
Heart failure guidelines 2017
Heart failure guidelines 2017Heart failure guidelines 2017
Heart failure guidelines 2017
 
Srikanth (1)
Srikanth (1)Srikanth (1)
Srikanth (1)
 
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)
Hypertension latest guidelines seminar(2017 ACC/AHA guidelines)
 
Hypertension
HypertensionHypertension
Hypertension
 
2017 hypertension guidelines
2017 hypertension guidelines 2017 hypertension guidelines
2017 hypertension guidelines
 
Recent guideline for the Prevention, Detection, Evaluation, and Management of...
Recent guideline for the Prevention, Detection, Evaluation, and Management of...Recent guideline for the Prevention, Detection, Evaluation, and Management of...
Recent guideline for the Prevention, Detection, Evaluation, and Management of...
 
Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019
 
2017 AHA ACC Hypertension Guidelines made simple
2017 AHA ACC Hypertension Guidelines made simple2017 AHA ACC Hypertension Guidelines made simple
2017 AHA ACC Hypertension Guidelines made simple
 
A fib
A fibA fib
A fib
 
2017 AHA/ACC Hypertension guideline summary
2017 AHA/ACC Hypertension guideline summary2017 AHA/ACC Hypertension guideline summary
2017 AHA/ACC Hypertension guideline summary
 
Managing Warfarin Therapy in Atrial Fibrilation)
Managing Warfarin Therapy in Atrial Fibrilation)Managing Warfarin Therapy in Atrial Fibrilation)
Managing Warfarin Therapy in Atrial Fibrilation)
 
2017 ACC AHA guidelines on management of systemic hypertension
2017 ACC AHA guidelines on management of systemic hypertension2017 ACC AHA guidelines on management of systemic hypertension
2017 ACC AHA guidelines on management of systemic hypertension
 
2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines
 
2017 high blood pressure clinical practice guideline
2017 high blood pressure clinical practice guideline2017 high blood pressure clinical practice guideline
2017 high blood pressure clinical practice guideline
 
3 dan atar - rate versus rhythm control in af
3   dan atar - rate versus rhythm control in af3   dan atar - rate versus rhythm control in af
3 dan atar - rate versus rhythm control in af
 
Management of atrial fibrillation (summary)
Management of atrial fibrillation (summary)Management of atrial fibrillation (summary)
Management of atrial fibrillation (summary)
 
2017 Blood Pressure Guidelines
2017 Blood Pressure Guidelines2017 Blood Pressure Guidelines
2017 Blood Pressure Guidelines
 

Similar to 2009 paramedic assist

Ch15 eec3Diabetic Emergencies and Altered Mental Status
Ch15 eec3Diabetic Emergencies and Altered Mental StatusCh15 eec3Diabetic Emergencies and Altered Mental Status
Ch15 eec3Diabetic Emergencies and Altered Mental Statusparamedicbob
 
conscious sedation monitoring
conscious sedation monitoringconscious sedation monitoring
conscious sedation monitoringMoatez Abdella
 
DETERIORATING PATIENT.pptx
DETERIORATING PATIENT.pptxDETERIORATING PATIENT.pptx
DETERIORATING PATIENT.pptxDocEddy
 
Medically compromised patient
Medically compromised patientMedically compromised patient
Medically compromised patientNeha Anand
 
Pharmaceutical care plan
Pharmaceutical care planPharmaceutical care plan
Pharmaceutical care planNorliza Ariffin
 
Perioperative management of diabetes mellitus
Perioperative management of diabetes mellitusPerioperative management of diabetes mellitus
Perioperative management of diabetes mellitusSourav Mondal
 
Medical emergencies in dental practice
Medical  emergencies in dental practiceMedical  emergencies in dental practice
Medical emergencies in dental practiceShreya Rastogi
 
2016 ESC Guidelines Patient Leaflet Folder.pdf
2016 ESC Guidelines Patient Leaflet Folder.pdf2016 ESC Guidelines Patient Leaflet Folder.pdf
2016 ESC Guidelines Patient Leaflet Folder.pdfQueenieCuaro1
 
AMS - Psychological Emergencies CME 2007
AMS - Psychological Emergencies CME 2007AMS - Psychological Emergencies CME 2007
AMS - Psychological Emergencies CME 2007brownEMS
 
Medical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessMedical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessNeil Pande
 
atrialfibrillation ppt
atrialfibrillation ppt atrialfibrillation ppt
atrialfibrillation ppt SidFlavier
 
exercise testing and echocardiography.pptx
exercise testing and echocardiography.pptxexercise testing and echocardiography.pptx
exercise testing and echocardiography.pptxEDWINjose43
 
NurseReview.Org Pharmacology Cardiovascular Drugs
NurseReview.Org Pharmacology  Cardiovascular DrugsNurseReview.Org Pharmacology  Cardiovascular Drugs
NurseReview.Org Pharmacology Cardiovascular DrugsNurse ReviewDotOrg
 

Similar to 2009 paramedic assist (20)

Ch15 eec3Diabetic Emergencies and Altered Mental Status
Ch15 eec3Diabetic Emergencies and Altered Mental StatusCh15 eec3Diabetic Emergencies and Altered Mental Status
Ch15 eec3Diabetic Emergencies and Altered Mental Status
 
conscious sedation monitoring
conscious sedation monitoringconscious sedation monitoring
conscious sedation monitoring
 
11 medical emergencies
11 medical emergencies11 medical emergencies
11 medical emergencies
 
DETERIORATING PATIENT.pptx
DETERIORATING PATIENT.pptxDETERIORATING PATIENT.pptx
DETERIORATING PATIENT.pptx
 
Medically compromised patient
Medically compromised patientMedically compromised patient
Medically compromised patient
 
Pharmaceutical care plan
Pharmaceutical care planPharmaceutical care plan
Pharmaceutical care plan
 
AHF In Critical Illness
AHF In Critical IllnessAHF In Critical Illness
AHF In Critical Illness
 
Perioperative management of diabetes mellitus
Perioperative management of diabetes mellitusPerioperative management of diabetes mellitus
Perioperative management of diabetes mellitus
 
Medical emergencies in dental practice
Medical  emergencies in dental practiceMedical  emergencies in dental practice
Medical emergencies in dental practice
 
HYPERTENSION.ppt
HYPERTENSION.pptHYPERTENSION.ppt
HYPERTENSION.ppt
 
2016 ESC Guidelines Patient Leaflet Folder.pdf
2016 ESC Guidelines Patient Leaflet Folder.pdf2016 ESC Guidelines Patient Leaflet Folder.pdf
2016 ESC Guidelines Patient Leaflet Folder.pdf
 
AMS - Psychological Emergencies CME 2007
AMS - Psychological Emergencies CME 2007AMS - Psychological Emergencies CME 2007
AMS - Psychological Emergencies CME 2007
 
Medical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessMedical Emergency Prevention and Preparedness
Medical Emergency Prevention and Preparedness
 
atrialfibrillation ppt
atrialfibrillation ppt atrialfibrillation ppt
atrialfibrillation ppt
 
exercise testing and echocardiography.pptx
exercise testing and echocardiography.pptxexercise testing and echocardiography.pptx
exercise testing and echocardiography.pptx
 
Heart disease in pregnancy
Heart disease in pregnancy Heart disease in pregnancy
Heart disease in pregnancy
 
Oral surgery
Oral surgeryOral surgery
Oral surgery
 
Hypertension
HypertensionHypertension
Hypertension
 
Hypertension
HypertensionHypertension
Hypertension
 
NurseReview.Org Pharmacology Cardiovascular Drugs
NurseReview.Org Pharmacology  Cardiovascular DrugsNurseReview.Org Pharmacology  Cardiovascular Drugs
NurseReview.Org Pharmacology Cardiovascular Drugs
 

More from Shore EMS Conference 2010 (10)

Sleep Deprivation Shore 2010
Sleep Deprivation   Shore 2010Sleep Deprivation   Shore 2010
Sleep Deprivation Shore 2010
 
Burr It's getting cold out there
Burr It's getting cold out thereBurr It's getting cold out there
Burr It's getting cold out there
 
CPAP and EMS
CPAP and EMSCPAP and EMS
CPAP and EMS
 
Its Shocking
Its ShockingIts Shocking
Its Shocking
 
Things That Make You Go Hmm Part 1ppt
Things That Make You Go Hmm    Part 1pptThings That Make You Go Hmm    Part 1ppt
Things That Make You Go Hmm Part 1ppt
 
Street Drugs-Huff and Puff
Street Drugs-Huff and PuffStreet Drugs-Huff and Puff
Street Drugs-Huff and Puff
 
Critical Thinking
Critical ThinkingCritical Thinking
Critical Thinking
 
Medicine Killed my Mother
Medicine Killed my MotherMedicine Killed my Mother
Medicine Killed my Mother
 
Lights On Nobodys Home-Pediatric AMS
Lights On Nobodys Home-Pediatric AMSLights On Nobodys Home-Pediatric AMS
Lights On Nobodys Home-Pediatric AMS
 
Abdominal Emergencies 2
Abdominal Emergencies 2Abdominal Emergencies 2
Abdominal Emergencies 2
 

Recently uploaded

Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Servicenarwatsonia7
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoynarwatsonia7
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 

Recently uploaded (20)

Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 

2009 paramedic assist